Kodi mukupanga phokoso lachilendo mukamapuma? Likhoza kukhala phokoso la stridor!

Kodi munamvapo phokoso lalikulu la mluzu kuchokera pakhosi panu kapena pakhosi panu, nthawi zina mukamapuma kapena kutulutsa mpweya? Kapena munamvapo mwana wanu akuimba mluzu? Ichi ndi chomwe timachitcha stridor m'mawu azachipatala. Zingakhale zoopsa pang'ono kumva, koma musadandaule. Tiyeni timvetse zonse zokhudza vutoli lotchedwa stridor.

Kodi Stridor ndi chiyani kwenikweni?

Mwachidule, stridor ndi chizindikiro chakuti pali chotchinga kapena chotsekeka kwinakwake pakhosi panu, kapena pakhosi, kapena pakhosi, kapena pakhosi. Zili ngati chitoliro chamadzi chomwe chimapanga phokoso madzi akamayenda. Pamene mpweya wodutsa mpweyawu watsekedwa, phokoso losazolowereka, lokwera limapangidwa pamene mpweya ukusuntha mmbuyo ndi mtsogolo.

Tangoganizirani, ngati tingotenga udzu ndikuukanda pang'ono mbali imodzi yake ndikuupuzira, umapanga phokoso lotere. Umu ndi momwe stridor imamvekera.

Kodi pali mitundu ya stridor?

Inde, pali mitundu itatu ikuluikulu ya stridor. Izi zimagawidwa kutengera komwe kutsekeka kwa mpweya kumachitika.

1. Kupuma mpweya: Izi zimachitika pamene pali chotchinga mu kholingo lanu kapena m'phuno (monga dera lakunja kwa chifuwa). Phokoso limamveka mukamapuma mpweya.

2. Mpweya wotuluka m'thupi: Apa pali chotchinga chomwe chili pamwamba pa mapapo anu, mu trachea (mkati mwa chifuwa). Choncho phokoso limamveka mukapuma .

3. Biphasic stridor: Chitsanzo chabwino cha izi ndi vuto lotchedwa Laryngomalacia. Izi zimachitika pamene chipolopolo cha m'mimba chomwe chili pansi pa zingwe zoimbira mawu chimakhala chofooka, zomwe zimapangitsa kuti njira yopumira mpweya ichepe ndikupanga phokoso popuma ndi kutuluka . Izi zitha kuchitika mwa makanda ena kuyambira kubadwa.

Ndani amene ali ndi mwayi waukulu wokhala ndi stridor?

Stridor ingakhudze aliyense wa msinkhu uliwonse. Komabe, imapezeka kwambiri mwa ana aang'ono kuposa akuluakulu . Izi zili choncho chifukwa njira zopumira za ana aang'ono sizili zazikulu ngati za akuluakulu, zimakhala zochepa kwambiri. Chifukwa chake, ngakhale chinthu chaching'ono kapena kutupa pang'ono kumatha kuwatsekereza mosavuta. Nthawi zina, stridor imatha kupezeka pobadwa (kubadwa).

Kuchuluka kwa matendawa kumasiyana malinga ndi chomwe chimayambitsa. Mwachitsanzo, stridor nthawi zambiri imayamba chifukwa cha kachilombo ka croup, matenda opatsirana m'mapapo omwe amakhudza ana aang'ono. Akuti vutoli limakhudza ana pafupifupi 5 mpaka 6 mwa ana 100 osakwana zaka 3. Stridor ingayambitsidwenso ndi kusamba kwa thupi lachilendo, komwe kumachitika pamene chinachake chakodwa pakhosi kapena panjira yolowera mpweya. Ku United States kokha, milandu pafupifupi 17,000 yotereyi imanenedwa ku madipatimenti odzidzimutsa chaka chilichonse.

Kodi stridor imakhudza bwanji thupi langa?

Stridor ndi vuto lomwe limayamba chifukwa cha kutsekeka kwa mpweya wodutsa mpweya. Izi zikutanthauza kuti mpweya sungalowe kapena kutuluka m'mapapo mwachizolowezi. Izi zingapangitse kuti kupuma kukhale kovuta . Chiwalo chilichonse m'thupi lathu chimafuna mpweya kuti chigwire bwino ntchito, ndipo mpweya woipa uyenera kutulutsidwa. Chifukwa chake, ngati vutoli la Stridor silichiritsidwa mwachangu, thupi silingalandire mpweya wofunikira, zomwe zingayambitse mavuto ena omwe angakhale oopsa .

Kodi chizindikiro chachikulu cha stridor ndi chiyani?

Chizindikiro chachikulu cha stridor ndi phokoso la mluzu lokwera lomwe limamveka popuma kapena kutuluka . Nthawi zina limamveka ngati kubuula pang'ono.

Kutengera chifukwa chake, mutha kuwona zizindikiro zina:

• Chifuwa
• Kulavula (makamaka kwa ana aang'ono)
• Mawu omveka bwino, kusintha kwa mawu
• Kupweteka pakhosi ndi/kapena kupweteka pakhosi
• Malungo
• Kutupa pakhosi ndi/kapena pakhosi
• Kuvuta ndi kupweteka mukameza

Zizindikiro zazikulu zomwe zimafuna thandizo lachipatala mwamsanga:

Ngati muli ndi zizindikiro izi, muyenera kupita kuchipatala nthawi yomweyo , kapena imbani 1990:

• Kuvuta kwambiri kupuma
• Milomo, zala za m'manja, kapena khungu limasintha kukhala labuluu kapena lofiirira (izi zikutanthauza kuti thupi silikupeza mpweya wokwanira)
• Kusatha kudya kapena kumwa chilichonse
• Kutsokomola magazi

Ngati muli ndi zizindikiro zoopsazi, musakhale panyumba . Chofunika kwambiri ndikupempha upangiri wa dokotala mwamsanga.

Kodi zifukwa za stridor ndi ziti?

Pali zifukwa zingapo zomwe zimayambitsa stridor. Zomwe zimayambitsa kwambiri ndi izi:

• Matenda a m'mapapo apamwamba (monga croup ya kachilombo) : Ichi ndiye chifukwa chofala kwambiri cha stridor mwa ana aang'ono, chomwe chimapanga pafupifupi 90% ya milandu yonse ya stridor.
• Kutuluka kwa thupi lachilendo : Ana aang'ono amatha kutsamwa ndi zinthu monga zoseweretsa ndi chakudya.
• Ngozi iliyonse kapena kuvulala kwa njira yopumira.
• Kutupa (monga tonsillitis, epiglottitis). Epiglottitis ndi vuto lalikulu kwambiri.

Pakhoza kukhala zifukwa zina:

• Matenda a ziwengo (allergy yoopsa)
• Chotupa (monga khansa ya m'khosi)
• Chifuwa
• Kulephera kugwira ntchito kwa mawu kapena ziwalo
• Kupuma utsi kapena mankhwala
• Atachitidwa opaleshoni ya khosi

Kodi chimachitika ndi chiyani thupi langa likakhala ndi stridor?

Njira yopumira ya dongosolo lathu lopumira imakhala ndi pakhosi (Pharynx), larynx (Larynx), trachea (Trachea), ndi bronchi (Bronchi). Pakamwa ndi mphuno zimathandiza kunyamula mpweya kupita ku mapapo kudzera m'njira zimenezi, komanso kutulutsa mpweya woipa. Mpweya ndi wofunikira kuti thupi lathu likhale ndi moyo.

Taganizirani za chida choimbira ngati lipenga. Chimapanga phokoso kuchokera ku kugwedezeka kwa mpweya pamene chikudutsa. Tikakanikiza makiyi a lipenga, phokoso limene limasintha. Izi zili choncho chifukwa kiyi yomwe timakanikiza imatseka njira ya mpweya, kusintha kugwedezeka. Mofananamo, ngati pali kutsekeka kwa mpweya wanu, phokoso limene mumapanga mukapuma ndi kutulutsa mpweya lidzasintha, monga momwe mungakanikizire kiyi pa lipenga, phokosolo limasintha.

Kodi madokotala amazindikira bwanji matenda a stridor?

Dokotala wanu adzadziwa chomwe chimayambitsa stridor yanu mwa kutenga zizindikiro zanu, mbiri yanu yachipatala, ndikukuyesani. Kenako, angachite mayeso ena kuti atsimikizire matendawa. Zina mwa izi ndi izi:

• Mayeso ojambulira: X-ray ya khosi kapena chifuwa.
• Kuyezetsa mpweya m'magazi: Izi zimayang'ana kuchuluka kwa mpweya ndi carbon dioxide m'magazi anu.
• Choyezera mpweya m'magazi: Chipangizo chaching'ono ichi chimalumikizidwa ku chala ndipo chimayesa kuchuluka kwa mpweya m'magazi.
• Laryngoscopy kapena Bronchoscopy: Izi zimaphatikizapo kulowetsa chubu chaching'ono chokhala ndi kamera (endoscope) kudzera pakamwa kapena mphuno yanu kuti muyang'ane mkati mwa njira zanu zopumira ndi mapapo. Izi zingakuthandizeni kuwona komwe kutsekekako kuli komanso momwe kumaonekera.

Kodi Stridor amachiritsidwa bwanji?

Cholinga chachikulu cha chithandizo cha stridor ndikutsegula njira yolowera mpweya ndi/kapena kuchepetsa kutsekeka . Chithandizocho chimadalira chomwe chayambitsa stridor yanu. Komabe, zina mwa njirazi zingaphatikizepo:

• Opaleshoni: Kuchotsa chinthu chakunja chomwe chatsekeka kapena chomwe chatsekeka, kapena kukulitsa njira yodutsa mpweya.
• Mankhwala: Chepetsani kutupa (kutupa), chizani matenda ngati alipo, ndikuchepetsa ululu.
• Heimlich maneuver: Njira iyi imagwiritsidwa ntchito kuchotsa chinthu chomwe chakhala pakhosi.
• Mpweya wowonjezera: Mpweya umaperekedwa kudzera mu chigoba kapena chubu chaching'ono chomwe chimayikidwa m'mphuno.
• Kuika chubu mu njira yolowera mpweya: Chubu chimayikidwa opaleshoni mu trachea kudzera pakamwa, mphuno, kapena pakhosi, zomwe zimapangitsa kuti mpweya udutse mpaka dokotala atachotsa chotsekacho.

Pambuyo pa chithandizo, dokotala wanu apitiliza kuyang'anira zizindikiro zanu kuti aone ngati chithandizocho chayenda bwino komanso ngati mukuchira bwino.

Kodi ndidzachira msanga bwanji nditalandira chithandizo?

Nthawi yomwe imatenga kuti muchiritse imadalira chomwe chinayambitsa stridor yanu ndi chithandizo chomwe dokotala wanu adagwiritsa ntchito pochepetsa kutsekeka kwa mpweya. Ndi mankhwala, muyenera kumva bwino pakatha masiku awiri kapena atatu. Ndi opaleshoni, zingatenge nthawi yayitali, ndipo zingatenge milungu ingapo kuti mubwererenso ku thanzi lanu. Komabe, mosasamala kanthu za chithandizo chomwe mungasankhe, muyenera kumva mpumulo nthawi yomweyo kutsekekako kukatha .

Kodi mungachepetse bwanji chiopsezo cha stridor?

Pali zifukwa zambiri zomwe zimayambitsa stridor, kotero n'zosatheka kuzipewa zonse. Komabe, mutha kuchita izi kuti muchepetse chiopsezo chanu:

• Yang'anirani mwana wanu pamene akusewera ndi kudya. Sungani zinthu zazing'ono zomwe angaike mkamwa mwake.
• Mukadya, dulani chakudya m'zidutswa tating'onoting'ono, chitafuneni bwino, kenako muchimeze. Mwanjira imeneyi, simudzakhala ndi mwayi woti mutsamwe.
• Musasiye zoseweretsa zazing'ono kapena ndalama zachitsulo pamalo pomwe ana ang'onoang'ono angazizigwire.
• Chepetsani kukhudzana ndi malo osuta.
• Sungani zoseweretsa ndi zinthu zomwe zimagwiritsidwa ntchito pafupipafupi kukhala zoyera komanso zophera tizilombo toyambitsa matenda.
• Sambani m'manja nthawi zambiri ndi sopo.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi stridor?

Mukayamba msanga kupeza chithandizo kuti muchotse vuto la mpweya woipa, zotsatira zake zimakhala zabwino. Dokotala wanu akhoza kupeza chomwe chayambitsa vuto lanu la stridor ndikukuthandizani mwachangu musanayambe mavuto aliwonse.

Koma kumbukirani, ngati stridor sichithandizidwe mwachangu, ikhoza kukhala pachiwopsezo cha moyo . Ingayambitse matenda monga kulephera kupuma. Kulephera kupuma kumachitika pamene magazi anu salandira mpweya wokwanira kuti ziwalo za thupi lanu zigwire ntchito.

Ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za stridor, onetsetsani kuti mwaonana ndi dokotala . Stridor ndi chizindikiro chakuti chinachake chikuchitika m'thupi lanu chomwe chingakupheni. Musazengereze kupita kwa dokotala, chifukwa zingayambitse mavuto oopsa ngati simulandira chithandizo.

Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?

Ngati muli ndi vuto la stroke yatsopano, kapena ngati mukuvutika kupuma, pitani kuchipatala mwamsanga, kapena imbani 911 .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

• Ngati ndichitidwa opaleshoni yochotsa vuto la mapapu anga, ndingadye chiyani ndi kumwa chiyani pambuyo pake?
• Kodi pali zotsatirapo zilizonse pa mankhwala omwe mumalimbikitsa?
• Kodi ndiyenera kubweranso kuti ndikawone ngati ndili ndi matenda enaake?
• Kodi ndingatani kuti mwana wanga asaike zinthu zazing'ono mkamwa mwake?

Kodi stridor ndi kupuma movutikira ndi chinthu chimodzi?

Ngakhale anthu ena amagwiritsa ntchito mawu oti "kupuma movutikira" mofanana ndi "stridor," pali kusiyana pakati pa zizindikiro ziwirizi. "stridor" ndi "kupuma movutikira" zonse zimamveka ngati mluzu wokweza mawu.

• Stridor imachitika pamene pali chopinga pakati pa njira yanu yolowera mpweya (pakhosi, pakhosi, pakhosi - makamaka m'dera lakunja kwa chifuwa).
• Kupuma movutikira kumachitika pamene njira zazing'ono zopumira mkati mwa mapapo anu (njira zopumira mkati mwa chifuwa) zatsekedwa kapena kuchepetsedwa. Izi zimachitika kawirikawiri kwa anthu omwe ali ndi mphumu ndi ziwengo.

Stridor imapezeka kwambiri mwa ana aang'ono, akuluakulu omwe ali ndi chinthu chotsekedwa m'njira zawo zopumira, kapena omwe ali ndi matenda.

Kodi kusiyana pakati pa Stridor ndi Stertor ndi kotani?

• Stertor ndi mawu osazolowereka omwe mumapanga mukamapuma. Koma amapezeka pamene pali chotseka pamwamba pa kholingo lanu, lomwe ndi gawo lapamwamba la mphuno ndi pakhosi panu. Phokosoli nthawi zambiri limamveka ndi mawu otsika pang'ono komanso omveka pang'ono. Lili ngati kukodola.
• Stridor ndi phokoso lapamwamba lomwe limachitika chifukwa cha kutsekeka kwa kholingo ndi trachea yomwe ili pansi pake.

Mwachidule, stridor ndi phokoso losazolowereka lomwe mumapanga mukamapuma (kapena kutulutsa mpweya), chizindikiro chochokera m'thupi lanu kuti pali vuto ndi mpweya wanu wopuma ndipo liyenera kuthandizidwa kapena kuchiritsidwa. Ngati mukumva phokosoli, musanyalanyaze. Chifukwa mpweya ndi wofunikira kuti matupi athu akhale ndi moyo. Pali mankhwala ochizira izi, ndipo ndi mankhwala amenewo, mutha kuchotsa phokoso losazolowerekali lopuma ndikuchira.

## Zinthu zofunika kukumbukira (Uthenga Wopita Nawo Kunyumba)

• Stridor ndi phokoso lapamwamba, lolira mluzu lomwe limamveka popuma kapena kutuluka. Ndi chizindikiro cha kutsekeka kwa mpweya.
• Izi zimachitika kawirikawiri kwa ana aang'ono, chifukwa njira zawo zopumira mpweya zimakhala zochepa.
• Matenda monga croup ndi chinthu chomwe chakhala pakhosi chingakhale zifukwa zazikulu.
• Ngati muli ndi zizindikiro monga kuvutika kupuma kwambiri komanso khungu labuluu, ndi vuto ladzidzidzi! Pitani kuchipatala nthawi yomweyo.
• Stridor imatha kuchiritsidwa kwathunthu mwa kupeza ndikuchiza chomwe chimayambitsa.
• Musanyalanyaze chizindikiro chonga ichi. Ndi bwino kufunafuna upangiri kwa dokotala.

Ndikofunikira kwambiri kuti inu ndi banja lanu mudziwe zizindikiro izi. Khalani ndi thanzi labwino!

Stridor , Kuvuta kupuma, Matenda opumira, Kutsekeka kwa pakhosi, Chifuwa chachikulu, Thanzi la mwana, Chisamaliro chadzidzidzi